William Vergados

Primary specialty

DentistTaxonomy code 122300000X

License

019.032729 Issued in IL

Practice address

8114 W 111TH St
Palos Hills, IL 60465-2206

Phone

(708) 974-9550

NPI assigned

Aug 9, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Khan & Zayyad Dental PLLC

  • General Practice Dentistry
  • Palos Hills, IL
  • NPI 1407681810
  NPD
• Elaine G. Stolis,D.D.S. & Associates

  • General Practice Dentistry
  • Palos Hills, IL
  • NPI 1164687588
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1831709336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11738 CAMELOT LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604676832",
            "telephone_number": "708-620-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 W 111TH ST",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652206",
            "telephone_number": "708-974-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGADOS",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Palos Hills Medical Center, S.C.
• Therapy Studio HH, LLC
• Rose Tomczak
• Tru Dental Illinois, P.C.
• Jessica Vazquez, PT, DPT
• Kenneth John Vick, LCPC
• Vijay Bajaj M.D.,S.C.
• Vitalcare LLC
• Vitality Physical Therapy PLLC
• Andrzej Waclaw, OTR/L

• Dentist in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.